Welcome to the 11th Annual

Health & Humanitarian Logistics (HHL) Conference

Share The Conversation #HHL2019 or #HHLConf

1

Hosted and Co-organized by:

8:45 AMConference Introduction

Dr. Julie Swann

Co-founder, Center for Health & Humanitarian Systems (CHHS)

Department Head & Professor, Department of Industrial and Systems Engineering

NC State University 2

Dr. Pinar Keskinocak

Co-founder and Director, Center for Health & Humanitarian Systems (CHHS)

William W. George Chair and Professor, School of Industrial & Systems Engineering

Georgia Institute of Technology

Conference Objectives• Strengthen supply chains and related

activities to better meet human needs

3

• Facilitate dialogue across organizations & sectors to:– Articulate challenges and successes– Identify opportunities for new practices,

research, or technology solutions – Identify priorities for strategies, policies

and investments

44

HHL 2019 ConferenceCo-Chairs• Özlem Ergun, Mechanical and Industrial Engineering, Northeastern University

• Jarrod Goentzel, Humanitarian Response Lab, MIT

• Pinar Keskinocak, Center for Health & Humanitarian Systems (CHHS), and School of Industrial and Systems Engineering, Georgia Tech

• Julie Swann, Fitts Department of Industrial and Systems Engineering, NC State University

• Luk Van Wassenhove, Humanitarian Research Group, INSEAD

Co-Organizers• Liz Igharo, The International Association of Public Health Logisticians (IAPHL)

• Dominique Zwinkels, People that Deliver (PTD)

Host• University of Rwanda Regional Centre of Excellence

4

Hosted and Co-organized by:

Conference Objectives• Strengthen supply chains and related activities

to better meet human needs

5

• Facilitate dialogue across organizations & sectors to:• Articulate challenges and

successes• Identify opportunities for new

practices, research, or technology solutions

• Identify priorities for strategies, policies and investments

A brief history of the

Health & Humanitarian Logistics (HHL) Conference

Share The Conversation #HHL2019 or #HHLConf

6

Hosted and Co-organized by:

Conference Agenda Overview

• Plenary panels• Interactive workshops• Oral presentations• Poster sessions• Zipline & DP World tours

And many opportunities for exchanging ideas and networking during coffee breaks, lunch,

and reception! 7

2013:

2012:

2009-2011:

A Global Conference: Partner Organizations & Hosts

2017:

2016:

2015:

2018: 2014:

2019:

2019 HHL Program Committee

• Laila Akhlaghi – John Snow, Inc. (JSI)• George Fenton – Humanitarian Logistics Association• Inès K. Gege Buki – USAID• John W. Fitzsimmons – PAHO/WHO• Paul Molinaro – World Health Organization (WHO)• Paulo Gonçalves – Università della Svizzera italiana• Joe Ruiz – The UPS Foundation• David Sarley – Bill and Melinda Gates Foundation• Alexis Strader – People that Deliver• Prashant Yadav – Bill & Melinda Gates Foundation

9

Special Thanks to…• Georgia Tech staff and students

– Joscelyn D. Cooper– Julie Smith– Jin Noh– Andy Haleblian

• University of Rwanda Regional Centre of Excellence– Stany Banzimana– Regis Hitimana– Stephen Karengera– Jean d'Amour Habagusenga– Kayumba P.Claver– Philip Cotton 10

• Rwanda Conventions Bureau– Valence Gitera– Eric Kimenyi

• Rwanda Ministry of Health - Zacharie Gahungu- Annette Gakwerere

• Student Volunteers - University of Rwanda- University of Global Health Equity- Strathmore University- INSEAD

• 2019 Program Committee

• Speakers and Attendees

Extra Special Thanks to…

11

Joscelyn Cooper

12

2019 attendee country representation

The size of the circles represents the percentage of attendees from each country. The larger the circle, the larger the number of attendees.

• Columbia University• Cranfield University• Department of HIV and AIDS, Ministry of

Health • DHL Global Forwarding (K) Ltd• Economic Empowerment Project Agago• eHealth Africa• Elizabeth Glaser Pediatric AIDS

Foundation • Empower Global• Flash TV• Freight in Time• Frontline Business Information Services• Georgia Institute of Technology• Georgia Tech Research Institute• Georgia Tech Supply Chain and Logistics

Institute• Ghana Ministry of Health• USAID GHSC-PSM Ghana• USAID GHSC-PSM Mozambique• USAID GHSC-PSM Nigeria• Global Environment and Technology

Foundation• Global Fund Ghana

Kasha• Kenya Ministry of Health• KU Leuven• Kumwe Logistics• LLamasoft• Logenix International• LOGIVAC CENTER• Management Sciences for Health • Massachusetts Institute of Technology

(MIT)• Mbeya Referral Hospital• MEBS Global Reach• Medecins Sans Frontieres• MEDICAL ACCESS UGANDA LIMITED• Mozambique Ministry of Health • NACP/Ghana Health Service • NC State University• Nexleaf Analytics• Nigeria Ministry of Health• Nnamdi Azikiwe University • Northeastern University• Novartis• Pamela Steele Associates Limited• Parsyl, Inc

Strathmore University• The Carter Center - Ethiopia • The Global Fund• The Liberian National Public Health

Institute (NPHIL)• Transaid• UN Iran• UNDP Istanbul• UNDP Zimbabwe• Universidad de Antioquia• University of Global Health Equity• University of Helsinki• University of Illinois at Urbana-

Champaign• University of Rwanda• University of Wisconsin-Milwaukee• UPS• USAID• Vitalliance Corporation• World Food Programme• Zenysis Technologies• Zimbabwe Ministry of Health and Child

Care • Zipline Rwanda

106 Organizations and Companies Represented!

The 2019 conference organizers would like to especially thank

The UPS Foundation for its ongoing support of the

Health & Humanitarian Logistics Conferencefor the 11th year

2009-2019 14

The 2019 conference organizers would like to especially thank

Logenix Internationalfor the new support and engagement with

2019 Health & Humanitarian Logistics Conference

201915

The 2019 conference organizers would like to especially thank

University of Rwanda – Regional Centre of Excellence

for hosting and organizing 2019 Health & Humanitarian Logistics Conference

201916

Thank you to our

2019 HHLConference

Sponsors!

DAY 1: Wednesday, July 10th• 8:45 – 9:15 CONFERENCE INTRODUCTION & AIM

• 9:15 – 9:30 WELCOME ADDRESS

• 9:30 – 11:00 SPECIAL KEYNOTE PANELMinistering Health- The Role of Supply Chain Policy and Collaboration

• 11:00 – 11:30 POSTER SESSION/COFFEE BREAK

• 11:30 – 12:30 PRESENTATIONS/WORKSHOPS – SESSION 1

• 12:30 – 13:30 LUNCH

18

• 13:30 – 14:45 PLENARY PANEL 1Implementation of Resilience in Supply Chains:Perspectives, Pitfalls, and Winning Strategies

• 14:45 – 15:45 PRESENTATIONS/WORKSHOPS - SESSION 2

• 15:45 – 16:15 POSTER SESSION/COFFEE

• 12:30 – 13:30 LUNCH• 16:15 – 17:30 PLENARY PANEL 2

Private Sector Engagement in Health and Humanitarian Supply Chain Management and Logistics

• 17:30 – 19:30 EVENING COCKTAIL19

DAY 1: Wednesday, July 10th

Special Activities

Zipline Tour & DP World TourAvailable on Friday

*Zipline tour check-in at 8 a.m. (shuttle leaves at 8:30 a.m.)*DP World tour check-in at 9 a.m. (shuttle leaves at 9:30 a.m.)

If you did not sign up in advance, see registration table during break to get on the waitlist

Challenge to You

• What knowledge can I take away for myself and/or my colleagues?

• What action will I take when I return?

• What action will I ask others to take when I return?

DATA• Facts• Past Experiences

INFORMATION• Trends• Successful

strategies

KNOWLEDGE•Best Practices•Causations & Predictions

•Gap analysis•Opportunities for improvement

DECISIONS• Engineer better

systems• Reduce gaps• Decrease cost• Improve outcomes

21

9:15 AMWelcome AddressDr. Diane Gashumba,

Rwanda Minister of Healthon behalf of His Excellency,

President Paul Kagame

22

9:30-11AMSpecial Keynote Panel

23

HE Mohamed Said Abdilahi,Deputy Minister of Health - Somalia

Prof. Philip Cotton,Vice-Chancellor,University Of Rwanda, Moderator

Dr. DianeGashumba,Minister of Health - Rwanda

Dr. Francis N. Kateh, Deputy Minister of Health - Liberia

Panelist Remarks

Special Keynote Panel

Health and Humanitarian Logistics Conference

The Role of Policy and CollaborationMinistering Health

Francis N. Kateh, MD, MHA, MPS/HSL, FLCP Deputy Minister for Health Services,

Chief Medical Officer, Republic Of Liberia

Background and Purpose

Key Figures: Total Population (UN): 4.6 million

Population Growth Rate (UN): 2.6%

Human Development Index Rank (UN): 177/188

Liberia: Country and Health Context

TBEstimated deaths from TB3,200 and rising (2015)

HIV/AIDS HIV prevalence 2.1% and 28,652 People living with HIV (2014)

Malaria Entire population at risk 4.6 million(2016)

MaternalMortality

Maternal mortality rate 1,072 per 100,000 live births (2014)

ChildMortality

Under-five mortality rate 94 per 1,000 live births (2013)

27

President

PACE

Incident Management System (IMS) –Chair and Deputy

IMS Medical

Response/Planning

LaboratoryEpi-

Surveillance

Social

Mobilisation

Contact

Tracing

Case

Management

Psychosocial

Committee

Dead Body

Management

IMS Support

Logistics OperationsFinance/

ProcurementM and E Planning

Inter-Ministerial

Group

National Consultative

Group

UN CLUSTER SYSTEM

Coordination, Control and Command

Montserrado -IMS

Sister

Housemate

Wife

Grandmother

Fiancé

Health worker

19 Feb to 5 MarBrother

Sister

Neighbour

Nephew

Helped to taxi

Niece

Daughter

Brother

Friend

Helped to taxi

Son

Daughter

Herbalist

Neighbour

Husband

Female50 years

January 2015 February 2015 March 2015

Source: Ministry of Health, Liberia

Sister

Housemate

Wife

Grandmother

Fiancé

Health worker

19 Feb to 5 MarBrother

Sister

Neighbor

Nephew

Helped to taxi

Niece

Daughter

Brother

Friend

Helped to taxi

Son

Daughter

Herbalist

Neighbor

Husband

Female50 years

January 2015 Febuary 2015 March 2015

Source: Ministry of Health, Liberia

20 MarFemale

44 years

43 Contacts?

EVD Logistics Platform

EVD logistics pipeline for Liberia

Essential Health Supply Chain

v

NDS Cross Dock Depots

Manufacturers

Health Care Facility

Procurement ServicesStorageDistribution

CHT

= Material Flow

= LMIS Flow

NDS Monrovia

SCMU/MOHSW

=Unusable Pharmaceuticals

Health Care Facility Montserrado Health Care Facility

SE

NDS Cross Dock Depots

Procurement Plan

Health Care Facility CHT

LMIS

= MIS Flow

Pharmacy Division

Program Units

LMIS DASHBOARD

StorageDistribution

Community Health Volunteers Community Health Volunteers

• The Supply Chain System support the vision of the Ministry of Health to deliverquality health services to the people of Liberia: “Dedication to equitable,accessible and sustainable health promotion, and protection and the provisionof comprehensive and affordable healthcare.”

• The Initial Supply Chain Master Plan (SCMP) developed 2010 and later revised 2015: This serves as the overall strategy for medical supply chain management in Liberia with clear roles and responsibilities of all key stakeholders in the chain.

• The Supply Chain Transformation Plan (SCTP) developed in 2018: This providesclear guidance in the implementation of the Supply Chain Master Planthrough six work streams that are now aligned to four cover all aspect of supplychain systems strengthening including governance and leadership.

POLICY IMPACT ON SUPPLY CHAIN IMPROVEMENT

The Key to Better Outcome in Health and Humanitarian Logistics

=================================

• Proper Planning• Appropriate Prepositioning• Efficient Accessibility

CONSTRUCTED MODERN PHARMACEUTICAL CENTRAL WAREHOUSE

✔ Liberia has a new pharmaceutical warehouse(Central Medical Stores). All health productsare integrated in the warehouse.

✔ The MoH is currently working with theinternational partners and donors to set up aWarehouse Management Information System(WMIS) at this Central Medical Stores (CMS).

✔ The MoH intends to link the SCMU, LMHRAand CMS platforms in order to speak to oneanother through the supply chain system.

Liberia NDS/CMS

PICTORIALS OF ACHIEVEMENTSImproved health infrastructure from make-shift structures to standard

clinics

• Improved housing facilities for health workers

ChallengesLimited Budgetary Allocation to coverappropriate plans and policies

Draw down on donor funding, hence stagnationto some of the programs

Frequent stock out of essential medicines at public health facilities due to inadequate funds and health financing policy

Limited public health facilities in rural communities with no maintenance plan

Health financing not matching the “free health care policy”

Ministering Health- The Role of Supply Chain Policy and Collaboration

Special Keynote Panel

11:00 AM

POSTER SESSION/COFFEE BREAK

30 minutesReturn by 11:30 AM

40

Follow us on Twitter, Facebook @CHHSgatechLinkedIn Center for Health & Humanitarian Systems, Georgia Tech

Share on social media #HHL2019 #HHLConf